title: A Case of Adult-Onset Still's Disease Presenting with Urticated Plaques and Acute Myopericarditis.
abstract: Adult onset Still's disease (AOSD) is a systemic inflammatory disorder of unknown etiology characterized by spiking fever, evanescent skin rash, arthralgia or arthritis, involvement of various organs, and predominantly neutrophilic leucocytosis. AOSD, although uncommon, has a characteristic constellation of clinical and laboratory features and should be considered in the differential diagnosis of pyrexia of unknown origin associated with a rash and arthralgia. The diagnosis is one of clinical suspicion and it is essential that infections, malignancy, and other rheumatic diseases are excluded. We report a case which illustrates the typical features of AOSD that were treated with steroids and azathioprine.
authors.affiliation: Department of Dermatology, National Skin Centre, Mandalay Road, Singapore.
authors.forename: Noor Hanif
authors.initials: NH
authors.lastname: Said
authors.forename: Siew Ngoh
authors.initials: SN
authors.lastname: Wong
authors.forename: Wei Hsia
authors.initials: WH
authors.lastname: Tan
keywords: AOSD; Adult-onset Still's disease; Still's disease